| NPI | 1477569549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01062120A) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 239391) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N3246) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2026-03-26 |